The Experiences of Filipino American Patients With Cancer

Margaret T. Harle

Rebecca F. Dela

Guadalupe Veloso

Julia Rock

Jay Faulkner

Marlene Z. Cohen

women, perceptions, patients with cancer, culture
ONF 2007, 34(6), 1170-1175. DOI: 10.1188/07.ONF.1170-1175

Purpose/Objectives: To explore the experience of Filipino patients with cancer.

Research Approach: Hermeneutic phenomenologic inquiry using focus groups.

Setting: A comprehensive cancer center in the southeastern United States.

Participants: 18 female and 5 male Filipino patients aged 34-78 years who had received cancer treatment.

Methodologic Approach: Seven focus groups, each lasting two hours, were conducted; each participant attended one focus group. Discussions were audiotaped, transcribed verbatim, and analyzed using phenomenologic analysis techniques.

Findings: Three main themes emerged: support of the family, perception of symptoms, and communication preferences.

Conclusions: Important cultural needs of Filipino patients with cancer as well as strategies to provide more culturally competent care were identified.

Interpretation: Nursing strategies important to the Filipino patients with cancer were including family when planning and delivering care, assessing symptoms with open-ended questions, frequently asking patients how they are doing, using gentle nondirect communication, and smiling. Culturally specific information should be included in nursing education. More research needs to be done with Filipino patients with cancer.

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    Anderson, K.O., Mendoza, T.R., Payne, R., Valero, V., Palos, G.R., Nazario, A., et al. (2004). Pain education for underserved minority cancer patients: A randomized controlled trial. Journal of Clinical Oncology, 22, 4918-4925.
    Beck, B., Halling, S., McNabb, M., Miller, D., Rowe, J., & Schulz, J. (2003). Facing up to hopelessness: A dialogal phenomenological study. Journal of Religion and Health, 42, 339-354.
    Beck, B., Halling, S., McNabb, M., Miller, D., Rowe, J., & Schulz, J. (2005). On navigating despair: Reports from psychotherapists. Journal of Religion and Health, 44, 187-205.
    Brant, J., Ishida, D., Itano, J., Kagawa-Singer, M., Palos, G., Phillips, J., et al. (1999). Oncology Nursing Society multicultural outcomes: Guidelines for cultural competence. Pittsburgh, PA: Oncology Nursing Society.
    Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13, 181-184.
    Cleeland, C.S., Gonin, R., Baez, L., Loehrer, P., & Pandya, K.J. (1997). Pain and treatment of pain in minority patients with cancer: The Eastern Cooperative Oncology Group minority outpatient study. Annals of Internal Medicine, 127, 813-816.
    Cohen, M.Z., Kahn, D., & Steeves, R. (2000). Hermeneutic phenomenological research: A practical guide for nurse researchers. Thousand Oaks, CA: Sage.
    Cohen, M.Z., & Palos, G. (2001). Culturally competent care. Seminars in Oncology Nursing, 17, 153-158.
    Dela Cruz, F.A., McBride, M.R., Compas, L.B., Calixto, P.R., & Van Derveer, C.P. (2002). White paper on the health status of Filipino Americans and recommendations for research. Nursing Outlook, 50, 7-15.
    Fouad, M.N., Corbie-Smith, G., Curb, D., Howard, B.V., Mouton, C., Simon, M., et al. (2004). Special populations recruitment for the Women's Health Initiative: Successes and limitations. Controlled Clinical Trials, 25, 335-352.
    Frazier, L., Calvin, A., Mudd, G., & Cohen, M.Z. (2006). Understanding of genetics among older adults. Journal of Nursing Scholarship, 38, 126-132.
    Freshwater, D. (2002). Therapeutic nursing: Improving patient care through self-awareness and reflection. Thousand Oaks, CA: Sage.
    Gong, F., Gage, S.L., & Tacata, L.A. (2003). Helpseeking behavior among Filipino Americans: A cultural analysis of face and language. Journal of Community Psychology, 31, 469-488.
    Ishida, D.N. (2001). Making inroads on cancer prevention and control with Asian Americans. Seminars in Oncology Nursing, 17, 220-228.
    Larsen, L.J. (2004). The foreign-born population in the United States: 2003. Current population reports, P20-551. Washington, DC: U.S. Census Bureau.
    Leininger, M. (1997). Overview of the theory of culture care with the ethnonursing research method. Journal of Transcultural Nursing, 8(2), 32-52.
    Leininger, M. (2002). Phillippine Americans and culture care. In M. Leininger & M. McFarland (Eds.), Transcultural nursing: Concepts, theories, research and practice (3rd ed., pp. 375-384). New York: McGraw-Hill.
    Leininger, M., & McFarland, M. (Eds.). (2002). Transcultural nursing: Concepts, theories, research and practice (3rd ed.). New York: McGraw-Hill.
    Maxwell, A.E., Bastani, R., Vida, P., & Warda, U.S. (2005). Strategies to recruit and retain older Filipino-American immigrants for a cancer screening study. Journal of Community Health, 30, 167-179.
    Nishimoto, P.W., & Foley, J. (2001). Cultural beliefs of Asian Americans associated with terminal illness and death. Seminars in Oncology Nursing, 17, 179-189.
    Pasco, A.C., Morse, J.M., & Olson, J.K. (2004). Cross-cultural relationships between nurses and Filipino Canadian patients. Journal of Nursing Scholarship, 36, 239-246.
    Phillips, J.M., Cohen, M.Z., & Moses, G. (1999). Breast cancer screening and African-American women: Fear, fatalism, and silence. Oncology Nursing Forum, 26, 561-571.
    Roley, B.A. (2001, August 20). Filipinos—The hidden majority. San Francisco Chronicle. Retrieved October 8, 2007, from
    Spector, R.E. (2004). Cultural diversity in health and illness (6th ed.). Upper Saddle River, NJ: Prentice Hall.
    Taylor, E.J. (2001). Spirituality, culture, and cancer care. Seminars in Oncology Nursing, 17, 197-205.
    Todd, K.H., Samaroo, N., & Hoffman, J.R. (1993). Ethnicity as a risk factor for inadequate emergency department analgesia. JAMA, 269, 1537-1539.
    U.S. Census Bureau. (2000). Demographic profiles: Census 2000. Retrieved October 8, 2007, from
    Wu, T., & Bancroft, J. (2006). Filipino American women's perceptions and experiences with breast cancer screening [Online exclusive]. Oncology Nursing Forum, 33, E71-E78. Retrieved October 4, 2007, from